Maple Springs Scholarship First Time Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Last NameFirst NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneChurch AffiliationCollege or University of choiceDate AppliedDate AcceptedIntended MajorPlease list all Honors and Awards received in High School/ College, and the year receivedAFFILIATIONS AND LEADERSHIP POSITIONSList ALL other Extracurricular Activities, Hobbies & Special InterestsList all Community Service Participation (provide a brief explanation, if necessary)FAMILY INCOME (please check only one box):Less than $10,000$10,001 - $25,000$25,001 - $35,000$35,001 - $45,000$45,001 - $55,000$55,001 - $65,000$65,001 - $75,000More than $75,001Please list the number of family members in your householdWritten Narrative Click or drag a file to this area to upload. Photo Click or drag a file to this area to upload. Letter of Recommendation Click or drag a file to this area to upload. Official Transcript Click or drag a file to this area to upload. Submit